Osteolytic Capillary Hemangioma—An Unusual Presentation of a Rare Spinal Tumor: A Case Report
We report an uncommon case of epidural capillary hemangioma in the thoracic spine masquerading as an osteolytic lesion. In addition, we discuss the pathogenesis and management of this unusual condition. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Dural Tuberculoma Mimicking En Plaque Meningioma: Case Report
We report on a 64-year-old male patient who underwent surgery for a dural tuberculoma mimicking en plaque meningioma. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Newer Technique of Using Indigenous Tubular Retractor (Tailored 5-mL Syringe) for Microscopic Excision of Third Ventricular Colloid Cysts
Colloid cysts are benign space-occupying lesions that account for 0.5% to 1.0% of brain tumors and arise from the velum interpositum or the choroid plexus of the third ventricle. We are describing a modified surgical technique that combines the positive attributes of being minimalistic while retaining the effectiveness of microsurgery. In all 20 consecutive symptomatic patients with a preoperative magnetic resonance imaging diagnosis of colloid cyst who came to the senior author between 2008 and 2011 were included in the study. The patient was kept supine with the head positioned neutrally in the saggital plane and neck fl...
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Angioarchitectural Characteristics Associated With the Risk of Hemorrhage in Intracranial Arteriovenous Malformations
Conclusions:
In our study, except for venous recruitment, no factor had any significant bleeding difference. We postulate that venous structures may be inconsistent and dependent on individual explanation of angiography characteristics. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Antiepileptic Drug Prophylaxis in Unruptured Intracranial Aneurysms
Conclusions:
Antiepileptic prophylaxis in unruptured intracranial aneurysms should be ceased if the patient has no history of preoperative epilepsy and if no seizure is observed at the end of 3 months. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Histologic Differentiation of Recurrent Multisegment Intramedullary Spinal Cord Tumors
Conclusions:
The histologic differentiation of the recurrent MSICT depends on the nature of the residual seeds of the primary tumor, which in turn affects the recurrence-free survival time. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Effect of Oral Administration of Methylphenidate on Hippocampal Tissue in Adult Male Rats
Conclusions:
Our findings suggested that oral administration of methylphenidate hydrochloride can induce hippocampal necrosis in adult rats. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Necessity of New Designed Device for Ruptured Internal Carotid Artery Trunk Blood Blister-like Aneurysms
Conclusions:
We had very high mortality with direct clippings and endovascular procedure during early learning curve, which had higher regrowth of BBA. We agree that the cerebral blood flow and volume should be protected by endovascular procedures with stents or high-flow bypass because the collateral circulation is quite vulnerable to vasospasm, although ICA sacrifice may be tolerable with balloon test occlusion for the trapping of BBAs. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Surgery of Metastases in the Sensorimotor Cortex Performance and Clinical Results
This study aims at reviewing a series of patients undergoing resection of metastases in the sensorimotor cortex using a multimodal concept including neuronavigation, sonography, and intraoperative electrophysiological monitoring. Eleven patients suffering from metastases located in precentral (8) and postcentral gyrus (3) were analyzed concerning their functional motor outcome. Improvement of motor function could be seen in 5 patients 1 week after surgery, 5 patients remained unchanged, and only 1 deteriorated. Median survival time averaged 15 months. A multimodal approach, including preoperative and intraoperative neurona...
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Comparison of Suturectomy and Cranioplasty Outcomes for Nonsyndromic Craniosynostosis: A Retrospective Study
Conclusions:
It seems that age at surgery is an important factor to prognosticate surgical outcome versus type of surgical method and phenotype of craniosynostosis in operated patients with nonsyndrome craniosynostosis. Namely, operation of younger pediatric cases leads to a satisfactory outcome. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
The Effects of Bupivacaine on Postoperative Back Pain After Lumbar Laminectomy: A Randomized Clinical Trial
This study determined the effect of bupivacaine on postoperative back pain after lumbar laminectomy. Sixty consecutive patients who underwent posterior approach laminectomy were randomly allocated to control and study groups. Anesthesia was induced with intravenous midazolam, fentanyl, and morphine. Tracheal intubation was facilitated by Atra, and patients’ lungs were ventilated with a mixture of 66% nitrous oxide and 0.5% to 1% halothane in oxygen. Anesthesia was continued with panthotal. Before wound closure in the study group, the surgeon injected 30 mL of 0.25% bupivacaine in paravertebral muscle and 30 mL of normal ...
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Flunarizine, Calcium Channel Blocker, Locally Improves Functional Recovery of the Transected Sciatic Nerve After Bridging With Inside-Out Vein Graft
The objective was to assess the effect of locally administered flunarizine (FNZ) on transected peripheral nerve regeneration and functional recovery. Sixty male healthy white Wistar rats were divided into 4 experimental groups (n=15), randomly: in transected group, left sciatic nerve was transected and stumps were fixed in the adjacent muscle. In treatment group, defect was bridged using an inside-out vein graft (IOVG/FNZ) filled with 10 μL FNZ (100 ng/mL). In vein graft group (IOVG), the graft was filled with phosphate-buffered saline alone. In sham-operated group (SHAM), sciatic nerve was exposed and manipulated. Each g...
Source: Neurosurgery Quarterly - November 1, 2016 Category: Neurosurgery Tags: Original Articles Source Type: research
Extradural Dumbbell-shaped Hydatid Cyst of the Thoracolumbar Junction and Paravertebral Region Compressing the Left Kidney
In this report, a case of hydatid cyst disease involving the T11 to L2 vertebrae with extensions through the neural foramina to the adjacent perirenal fascia and compressing the left kidney is presented. The clinical presentation of the patient was a loss of strength in the legs; this patient initially underwent surgery to decompress the spinal cord by laminectomy and posterior stabilization with bilateral T11 and L1 posterior pedicular screw fixation. Then a retroperitoneal approach to excisea paravertebral mass compressing the left kidney was carried out. The serology was positive for hydatid cyst. Hydatid cyst disease s...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Chronic Subdural Hemorrhage Associated With an Arachnoid Cyst After Sports Injury in Childhood: A Case Report and the Literature Review
We present this case because there are rare reports of similar cases in the literature. (Source: Neurosurgery Quarterly)
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
Dorsal Cauda Equina Compression by the Sequestral Lumbar Disk Herniation: A Case Report and the Literature Review
A 43-year-old man presented with a 1-week history of progressive weakness of left leg and voiding difficulty. T2-weighted sagittal magnetic resonance image (MRI) showed large size disk extrusion on L4 to L5 level. T1-weighted sagittal MRI with gadolinium enhancement showed rim-enhanced irregularly oval-shaped mass. We performed surgery and removed a large disk particle immediately after partial hemilaminectomy and ligament flavectomy. Disk particles were removed piecemeal. Most common presentation of this pathology was cauda equina syndrome. MRI usually shows rim-enhanced mass-like lesion and partial hemilaminectomy seems ...
Source: Neurosurgery Quarterly - October 29, 2016 Category: Neurosurgery Tags: Case Reports Source Type: research
